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Vol. 302, Issue 3, 1055-1061, September 2002
Novartis Pharma Research, Basel, Switzerland (J.W., S.R., J.R.G.),
and Metastases Research Laboratory (K.B., A.B., V.C.) and Tumor Biology
Laboratory, University of Liége Sart Tilman, Liège, Belgium
(L.D., J.M.F.)
Bisphosphonate drugs inhibit osteoclastic bone resorption and are
widely used to treat skeletal complications in patients with
tumor-induced osteolysis. We now show that zoledronic acid, a new
generation bisphosphonate with a heterocyclic imidazole substituent, is
also a potent inhibitor of angiogenesis. In vitro, zoledronic acid
inhibits proliferation of human endothelial cells stimulated with fetal
calf serum, basic fibroblast growth factor (bFGF), and vascular
endothelial growth factor (IC50 values 4.1, 4.2, and 6.9 µM, respectively), and modulates endothelial cell adhesion and
migration. In cultured aortic rings and in the chicken egg
chorioallantoic membrane assay, zoledronic acid reduces vessel sprouting. When administered systemically to mice, zoledronic acid
potently inhibits the angiogenesis induced by subcutaneous implants
impregnated with bFGF [ED50, 3 µg/kg (7.5 nmol/kg)
s.c.]. These findings indicate that zoledronic acid has marked
antiangiogenic properties that could augment its efficacy in the
treatment of malignant bone disease and extend its potential clinical
use to other diseases with an angiogenic component.
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